| NPI | 1659536688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA NP16256) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 668941) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704202168) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2024-08-27 |